New Mexico Fertility Insurance Coverage

Partial coverage required

Overview of state insurance mandates and fertility coverage requirements for New Mexico. Applies to fully-insured health plans regulated by the state.

Coverage Summary

Benefit	Required by State
Mandate to offer fertility coverage	No
Diagnosis coverage	Yes
Treatment coverage	No
IVF included	No
Fertility preservation included	No

Coverage Details

New Mexico: private insurance context - Not Covered. Medicaid context - Covered: The evaluation of infertility for Presbyterian Health Plan; Not Covered: Infertility treatment for Presbyterian Health Plan, All infertility services/treatment for BCBS of NM, Western Sky Community Care; Benefits vary between Medicaid managed care plans. State mandates vary by market and plan type and generally do not control self-funded employer plans.

Self-Funded Employer Plans (ERISA)

Self-funded employer health plans are generally governed by ERISA and may be exempt from state insurance mandates; verify benefits with the clinic and insurer.

Source & Dates

Source:: KFF State Health Facts
Data as of:: 2025-11-30
Next review:: 2026-08-09

Disclaimer

This is not legal or insurance advice. Verify coverage directly with your insurer and HR benefits team. Self-funded employer plans (ERISA) are generally exempt from state mandates. Information reflects the reviewed source as of the date noted above and may not reflect recent legislative or regulatory changes.

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2 clinics listed in New Mexico.

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